document.write("<!-- Web Form Generator 2.0 --><center><form method=\"post\" action=\"http://clients.xmailpro.com/scripts/addlead.pl\" target=\"_new\"><input type=\"hidden\" name=\"meta_web_form_id\" value=\"672451025\"><input type=\"hidden\" name=\"meta_split_id\" value=\"\"><input type=\"hidden\" name=\"unit\" value=\"gptsg\"><input type=\"hidden\" name=\"redirect\" value=\"http://www.getpaidtosmellgreat.com/What-Now.html\" id=\"redirect_8c9a819b37b6bbc2edd60f374418c676\"><input type=\"hidden\" name=\"meta_redirect_onlist\" value=\"http://www.getpaidtosmellgreat.com/What-Now.html\"><input type=\"hidden\" name=\"meta_adtracking\" value=\"\"><input type=\"hidden\" name=\"meta_message\" value=\"1\"><input type=\"hidden\" name=\"meta_required\" value=\"from\"><input type=\"hidden\" name=\"meta_forward_vars\" value=\"0\"><table><tr><td colspan=2><center><DIV><FONT color=#333399><STRONG>Please complete the form&nbsp; to access more detailed information about this exciting opportunity and&nbsp;to get&nbsp;&nbsp;<FONT style=\"BACKGROUND-COLOR: #ffff66\">FREE VIP</FONT> &nbsp;access to success coach Dani Johnson.</STRONG></FONT></DIV></center></td></tr><tr><td>Name:</td><td><input type=\"text\" name=\"name\" value=\"\" size=\"20\"></td></tr><tr><td>Email:</td><td><input type=\"text\" name=\"from\" value=\"\" size=\"20\"></td></tr><tr><td>Phone Number:</td><td><input type=\"text\" name=\"custom Phone Number\" value=\"\" size=\"20\"></td></tr><tr><td>City:</td><td><input type=\"text\" name=\"custom City\" value=\"\" size=\"20\"></td></tr><tr><td>Desired Income Monthly:</td><td><input type=\"text\" name=\"custom Desired Income Monthly\" value=\"\" size=\"20\"></td></tr><tr><td>Direct Sales Experience:</td><td><input type=\"text\" name=\"custom Direct Sales Expercience\" value=\"\" size=\"20\"></td></tr><tr><td>Party Plan Experience:</td><td><input type=\"text\" name=\"custom Party Plan Experience\" value=\"\" size=\"20\"></td></tr><tr><td>Other Comments:</td><td><input type=\"text\" name=\"custom Other Comments\" value=\"\" size=\"20\"></td></tr><tr><td>How did you find out about FM(name of person required):</td><td><input type=\"text\" name=\"custom How did you find out about FM(name of person required)\" value=\"\" size=\"20\"></td></tr>    <tr><td colspan=2><center><DIV><STRONG><FONT color=#333399>Please complete all fields so we can direct you to the correct imformation </FONT></STRONG></DIV><DIV><STRONG><FONT color=#333399></FONT></STRONG>&nbsp;</DIV></center></td></tr><tr><td align=\"center\" colspan=\"2\"><input type=\"submit\" name=\"submit\" value=\"Submit\"></td></tr></table></form></center>");

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